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BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN P.C. NPI 1376592949


NPI Information

NPI: 1376592949
Provider Name: BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.

Doing Business As: ORAL & FACIAL SURGERY CENTER OF JOPLIN

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 26D1087267

Address:
620 W 32ND ST
JOPLIN, MO
ZIP 64804
Phone: (417) 621-0500
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BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C. is an oral and maxillofacial surgery dentist in Joplin, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C. NPI is 1376592949. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oral & Facial Surgery Center Of Joplin.

The provider's business location address is:

620 W 32ND ST
JOPLIN, MO
ZIP 64804
Phone: (417) 621-0500
Fax: (417) 781-5809

The provider's authorized official is Bradley R Burnett .
The authorized official title is President and has the following contact phone number (417) 621-0500.

The CLIA number assigned to this NPI record is 26D1087267 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 11/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223E0200XDentistEndodonticsNo
3204E00000XOral & Maxillofacial SurgeryNo
42082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
51223E0200XDentistEndodontics010761MISSOURINo
61223S0112XDentistOral and Maxillofacial Surgery2005005794MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.